AUBURN HILLS, Mich., April 22 /PRNewswire-FirstCall/ -- A new, more
effective surgery to repair a common sports-related knee injury, the torn
ACL (anterior cruciate ligament), is now available in Michigan.

"This innovative technique more accurately recreates an ACL's normal
anatomy," explains Dr. John Samani, M.D. "We believe this procedure also
stabilizes the knee to a degree never seen before with traditional ACL
reconstruction."

Samani, and his partner, Dr. Thomas Perkins, D.O., successfully began
performing anatomic double-bundle ACL reconstruction earlier this year
through their Michigan Knee and Shoulder Institute in Auburn Hills after
returning from an international symposium led by top surgeons from around
the world who regularly perform the double-bundle procedure.

The normal ACL is composed of two bundles that perform distinct
functions to control knee stability and rotation. The double-bundle
procedure reconstructs both bundles in the ACL. The traditional approach
reconstructs only the injured bundle.

The double-bundle procedure has been used in Europe for nearly a decade
and has been under study in the United States since 2002. Samani and
Perkins were two of only a handful of physicians from the Midwest to attend
the symposium and then utilize the technique at their sports-medicine
practice here in metro Detroit.

ACL tears, among the most common sports-related knee injuries for both
males and females, happen when the ACL is stretched beyond the normal
elasticity range. More than 200,000 ACL tears occur each year in the United
States. The highest incidence is in individuals between 15 and 25 years old
who participate in pivoting sports, such as soccer and football. Injuries
also occur with significant frequency in middle-aged athletes. They have
reached almost epidemic proportions in young female athletes, adds Samani.

The vast majority of orthopedic surgeons in the country currently use a
surgical technique that reconstructs only one of the ACL's two anatomic
bundles - even though an injury to the knee disrupts both bundles, causing
a complex ACL instability. Recent studies suggest that the single-bundle
technique inadequately controls this instability, so those undergoing the
single-bundle surgery complain the knee never feels as stable as it did
before the injury and reconstruction.

Even more crucial, about 90 percent of athletes who undergo traditional
single-bundle ACL surgery develop significant arthritic changes in the knee
within 10 years.

In contrast, the double-bundle surgery restores both ligaments to their
original anatomic structures, allowing each ligament to better perform its
unique function in giving the knee forward movement and rotational
stability.

"Double-bundle reconstruction is like a custom rebuild, more closely
restoring the patient's ACL to the way it was before the injury," explains
Perkins. "By doing so, we are optimistic we can give athletes a knee that
feels more like it did before the injury while hopefully preventing the
devastating consequence of arthritis down the road."

Samani and Perkins agree that doing everything possible to stop future
arthritis is key. They have performed the double-bundle reconstruction on
male and female patients ranging in age from 15 to 45.

The two board-certified orthopedists say they were driven to research
more effective ACL surgery techniques after spending years working with
college and professional athletes who repeatedly suffered increased
post-surgical arthritis rates.

Samani, who worked with three Minnesota pro teams - the Twins, the
Vikings and the Timberwolves - while on a sports-medicine fellowship at the
University of Minnesota's Sports Medicine Center, is orthopedic consultant
for the Twins when they play in Detroit. Perkins worked with Michigan State
University varsity athletes while training in East Lansing and remains an
MSU athletic consultant. Both doctors are orthopedic consultants for
Oakland University and many metro Detroit high schools.

The double-bundle reconstruction, performed by well-trained physicians,
provides greater hope for a more complete recovery that takes no longer
than it does for the traditional single-bundle procedure, according
Perkins.

Because of the complexity of the double-bundle surgery, Samani and
Perkins work on each patient as an operating-room team. They view this
approach as a new standard in patient care because it minimizes risk.

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